Active NPI
Hikari Daniel Mizukami, DPT
- Physical Therapist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60484211
- Practice address
- 17800 Talbot Rd S
Suite D
Renton, WA 98055-5740 - Phone
- (425) 277-9096
- Fax
- (425) 277-1206
- NPI assigned
- Aug 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60484211 | WA | Primary |
Addresses
Primary practice location
17800 Talbot Rd S
Suite D
Renton, WA 98055-5740
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names 1
- Daniel Mizukami
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Washington School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1975 112TH Ave NE
Suite 100
Bellevue, WA 98004-2942
Phone (425) 450-9801
6704 NE 181St St
Suite 101
Kenmore, WA 98028-4890
Phone (425) 419-4363
6710 108TH Ave NE
Suite 100
Kirkland, WA 98033-7050
Phone (425) 979-7445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60484211 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Bellevue Sports & Spine Physical Therapy PS | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1975 112th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 450-9801
1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
7650 SE 27th St
Ste 112
Mercer Island, WA 98040
Phone (206) 230-8320
17800 Talbot Rd S
Ste D
Renton, WA 98055
Phone (425) 277-9096
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bellevue, WA
- NPI 1285718015
-
- Physical Therapist
- Kirkland, WA
- NPI 1962863274
-
- Physical Therapy Clinic/Center
- Kirkland, WA
- NPI 1770894990
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1437558723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 TALBOT RD S",
"address_2": "SUITE D",
"city": "RENTON",
"state": "WA",
"postal_code": "980555740",
"telephone_number": "425-277-9096",
"fax_number": "425-277-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZUKAMI",
"first_name": "HIKARI",
"middle_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60484211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "MIZUKAMI",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.